| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,633.70 | $24,169.80 | $49,106.50 | |
Cigna
| Facility | $36,944.69 | $36,944.69 | $39,253.05 | |
Premera BCBS
| Facility | $7,500.00 | $14,278.01 | $22,640.58 | |
Providence
| Facility | $7,500.00 | $14,351.10 | $39,253.05 |